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ENVIRONMENTAL HEALTHtEPARTMENT <br /> "o� N <br /> Donna K. Herau, R.E.H.S. SAN JOAQUIN COUNTY <br /> r.' ? Program Coordinators <br /> Director 304 East Weber Avenue,Third Floor Carl Borgman,R.E.H.S. <br /> Laurie A. Cotulla,R.E.H.S. Stockton,California 95202-2708 Mike Huggins,R.E.H.S., R.D.I. <br /> • C4�IFoa?�°'. Assistant DirectorTelephone: (209)468-3420 Margaret Lagorio, R.E.H.S. <br /> Robert McClellon, R.E.H.S. <br /> Fax: (209)464-0138 .teff Ca ruesco,R.E.H.S. <br /> Website:www.sjgov.org/ehd/ Kasey Foley,R.E.H.S. <br /> January 8,2007 <br /> Stockton Service Station Equipment Co.,Inc. <br /> P.O. Box 508 <br /> Stockton, CA 95201 <br /> RE: Roasrio Costilla Property,2514 Juliet Rd., Stockton CA(APN 17304040) <br /> The permit application to remove the following underground storage tanks (UST): <br /> 1. (039-0515814) 500 gallon(Leaded Gasoline) <br /> from the above referenced facility has been approved with the following conditions: <br /> 1. If the backfill material and soil is found to be contaminated it must be disposed of at <br /> an approved disposal location. Treatment of soil onsite can only be performed under a <br /> hazardous waste treatment permit. <br /> 2. A copy of the"Site Health & Safety Plan"must be on the jobsite for review. <br /> 3. See pages 7 & 8 of the permit application for required analytical tests and number of <br /> samples to be taken and witnessed by this department. Form EH 23 046 Revised <br /> 11/21/06 must be utilized. <br /> 4. A copy of the fire department permit must be submitted at the time of removal. <br /> 5. In addition, the following information must be submitted within 30 days of the <br /> removal date: <br /> (a) All analytical results must come directly from a third party California certified <br /> laboratory with affixed chain of custody or this office will not accept them. <br /> (b) UST Tracking Record Sheet and/or Tank Hazardous Waste Manifest <br /> (c) Tank Closure Certification Form(DTSC form 1249) <br /> (d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt <br /> 6. A clearance letter for the UST removal will not be issued until all associated permit <br /> back fees are paid in full. <br /> 7. This permit expires on April 8, 2007. <br /> 8. Arrange the removal inspection at least 48 hours in advance. <br /> If you have any questions please contact Ray von Fliie at (209) 468-9848. <br /> Thank y`� C/ <br /> Ray von Mile, Sr. REHS <br /> Senior Registered Environmental Health Specialist <br />